DR. Terry Michael Blake, DDS, MSD
NPI #1003485624 in O'fallon, Missouri
Provider Information
- NPI Number
- 1003485624
- Entity Type
- Individual
- Name
- DR. Terry Michael Blake, DDS, MSD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- DDS, MSD
- Enumeration Date
- Jun 18, 2021
- Last Updated
- Jun 18, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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